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Individual

KIMBERLY JO SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
17040 W GREENFIELD AVE STE 3, BROOKFIELD, WI 53005-6844
(414) 930-2363
Mailing address
515 SHELLEY DR, RACINE, WI 53405-2142
(262) 583-0632

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14085-146
WI

Other

Enumeration date
03/24/2023
Last updated
03/24/2023
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